2024-11-15T12:47:56+00:00 2023-12-31 440160260 Forvis Mazars LLP 1551 N Waterfront Pkwy Ste 300 Wichita KS 672066601 990 2023-01-01 481112955 CITIZENS FOUNDATION CITI 7854627511 100 E COLLEGE DRIVE COLBY KS 67701 RYAN STOVER CFO 2024-11-15 true Michael Engle P00482834 3162652811 2024-11-15 2023 2024-10-15 13:58:12Z DAVID MCCORKLE 100 E COLLEGE DRIVE COLBY KS 67701 423737 false X WWW.CMCIKS.COM/FOUNDATION X 1991 KS FUNDRAISING FOR THE BENEFIT OF CITIZENS MEDICAL CENTER, INC. 6 6 0 10 0 0 476716 263366 0 0 30571 14081 94801 127346 602088 404793 409880 2267155 0 0 0 0 0 0 0 4560 1614 414440 2268769 187648 -1863976 2814508 948260 2310 38 2812198 948222 TO SUPPORT HEALTH CARE, TREATMENT, HEALTH RELATED EDUCATION, AS WELL AS THE PROMOTION OF HEALTH AND WELLNESS FOR NORTHWEST KANSAS. TO PROMOTE HEALTH AND WELLBEING OF PEOPLE THROUGH THE DEVELOPMENT, PROMOTION, IMPROVEMENT, AND SUPPORT OF ALL FORMS OF HEALTHCARE SERVICE AND MEANS FOR THE DELIVERY OF SUCH SERVICE AS WELL AS THE SUPPORT AND ENHANCEMENT OF EXISTING HEALTH CARE TREATMENT FACILITIES. false false 2258655 2258655 PROVIDE SUPPORT FOR HEALTH CARE SERVICES IN THE COMMUNITY. 8500 8500 PROVIDING SCHOLARSHIPS ACCORDING TO THE RESTRICTED ENDOWMENT FUND GUIDELINES. 1354 PROVIDE COMMUNITY IMPROVEMENT AND BETTERMENT ACTIVITIES. 2268509 true true false false false false false false true true false false false false false false false false false false false false false true false false true true false false false false false false false false false false false false false false false false false false true 0 0 0 false false false false false true true false false false false false false X 6 6 false false false false true true false true true false false true true true true false false false false false X RYAN STOVER 7854627511 100 E COLLEGE DRIVE COLBY KS 67701 X JL EVINS DIRECTOR, TREASURER 1.0 0.0 X X 0 0 0 LANA JOHNSON DIRECTOR, SECRETARY 1.0 0.0 X X 0 0 0 PAT MALLORY DIRECTOR, CHAIR 1.0 0.0 X X 0 0 0 RANDY WILSON VICE CHAIR 1.0 0.0 X X 0 0 0 JAYSON WOOFTER DIRECTOR 1.0 0.0 X 0 0 0 JODY METCALF DIRECTOR 1.0 0.0 X 0 0 0 DAVID MCCORKLE CMCI CEO 1.0 0.0 X 0 0 0 RYAN STOVER CMCI CFO 1.0 0.0 X 0 0 0 0 0 0 0 false false false 0 4700 258666 263366 0 0 0 0 0 14081 14081 112136 7809 104327 0 104327 104327 0 0 34154 4700 11135 23019 23019 0 0 0 0 0 404793 0 0 141427 2258655 2258655 8500 8500 260 260 0 0 0 0 331 331 UNCOLLECTED PLEDGES 1023 1023 0 0 0 0 2268769 2268509 260 0 672878 137595 501670 1023 0 0 0 0 82989 34314 53064 48675 1528749 745428 0 0 57124 16562 2814508 948260 2310 38 0 0 0 0 2310 38 X 1462719 1349479 948222 2812198 948222 2814508 948260 -1863976 0 X false false false X 278053 143600 214624 476716 263366 1376359 0 0 278053 143600 214624 476716 263366 1376359 416939 959420 36355 41731 191258 123804 126217 519365 0 0 0 0 0 0 0 1895724 0 0.5061 0.5025 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 552518 27135 579468 185 642862 -90344 552518 473295 169567 642862 476449 -3154 473295 601441 98767 222099 1660 476449 0.2 0.49 0.31 false false 79794 31252 48542 3195 3062 133 48675 Schedule D, Part V, Line 4 Intended uses of endowment funds ENDOWMENT FUNDS ARE RESTRICTED FOR HEALTHCARE, EDUCATION, SCHOLARSHIPS, AND CAPITAL IMPROVEMENTS TO CITIZENS MEDICAL CENTER AND ITS PHYSICIAN CLINIC. GOLF TOURNAMENT 38854 4700 34154 11135 0 0 38854 4700 34154 11135 11135 23019 true Citizen's Medical Center 100 E COLLEGE DRIVE COLBY KS 67701 480892178 501(C)(3) 2151361 CAPITAL EQUIPMENT 1 0 SCHOLARSHIPS 9 8500 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. CITIZENS FOUNDATION AWARDED FIVE SCHOLARSHIPS TO INDIVIDUALS WHO ARE STUDYING IN HEALTHCARE FIELDS INCLUDING, BUT NOT LIMITED TO: NURSING, AB, RADIOLOGY, THERAPY, DIETETICS, MEDICAL RECORDS, TRANSCRIPTION, PEDRIATRICS, MD, DO, ARNP, PA, PHARMACY, SOCIAL SERVICES, OR HEALTHCARE ADMINISTRATION. CANDIDATES MUST COMPLETE AN APPLICATION AND ARE INTERVIEWED BY THE FOUNDATION EXECUTIVE DIRECTOR AND EDUCATION MANAGER. THE FOUNDATION BOARD AND CEO APPROVE THE FINAL SCHOLARSHIP RECIPIENTS. THE SCHOLARSHIP RECIPIENTS ARE RESPONSIBLE FOR TRACKING THE FUNDS AFTER. Form 990, Part VI, Line 6 PROCESS FOR ELECTING DIRECTORS THE ORGANIZATION HAD 6 MEMBERS ON THE BOARD OF DIRECTORS AND 19 VOTING MEMBERS AS OF 12/31/2023. THE VOTING MEMBERS ELECT THE MEMBERS OF THE BOARD OF DIRECTORS AND VOTE ON SUCH OTHER MATTERS AS ARE SUBMITTED TO A VOTE. Form 990, Part VI, Line 7a MEMBERS WITH THE POWER TO ELECT CITIZENS FOUNDATION HAS 19 VOTING MEMBERS RESPONSIBLE FOR ELECTING AND OVERSEEING THE GOVERNING BODY, KNOWN AS THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR MANAGING THE AFFAIRS OF THE FOUNDATION. THE BOARD OF DIRECTORS MAY SUBMIT OTHER MATTERS TO THE VOTING MEMBERS FOR A VOTE. Form 990, Part VI, Line 11b Review of form 990 by governing body AN INDEPENDENT ACOUNTING FIRM PREPARES THE FORM 990. THE ORGANIZATION'S BOARD OF DIRECTORS THEN REVIEWS THE COMPLETE FORM 990 AND ALL REQUIRED SCHEDULES. ANY QUESTIONS OR CONCERNS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE. THE FINAL FORM 990, WITH ALL REQUIRED SCHEDULES, IS PROVIDED TO ALL VOTING MEMBERS OF THE BOARD PRIOR TO FILING THE 990. Form 990, Part VI, Line 12c Conflict of interest policy A CONFLICT OF INTEREST DICLOSURE FORM IS PROVIDED WITH A COPY OF THE CURRENT CONFLICT OF INTEREST POLICY. THE DISCLOSURE FORM IS COMPLETED BY EACH MEMBER UPON ELECTION AND ANNUALLY THEREAFTER. IF A CONFLICT IS DISCOVERED, THE MEMBER CONCERNED IS NOT ALLOWED TO VOTE ON THE RELATED MATTER. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON WRITTEN REQUEST.